Watsonville Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

WATSONVILLE PHARMACY INC

Practice address

1433 Freedom Blvd
Watsonville, CA 95076-2742

Phone

(831) 728-1818

NPI assigned

Jun 27, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Lindberg

Title

President

Phone

(831) 728-1818

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1245891399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 FREEDOM BLVD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762742",
            "telephone_number": "831-728-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 FREEDOM BLVD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762742",
            "telephone_number": "831-728-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSONVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-728-1818"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PHARMACY LICENSE",
            "identifier": "PHY48216",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY482160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Watsonville Chiropractic P.C.
• Watsonville Doctors on Duty
• Watsonville Emergency Medical Group
• Watsonville Hospital Corporation
• Watsonville Medical Clinic and Aesthetic Clinic, Inc
• Watsonville Pharmacy Inc
• Robert Joseph Weber, MD
• Angel Webster
• Alisa Myers Weinberger, RN
• Haley Elise Weiner

• Long Term Care Pharmacy in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.